Individual
JON J JUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
43169 GATWICK SQ, ASHBURN, VA 20147-4432
(623) 533-9733
Mailing address
PO BOX 4042, BROADLANDS, VA 20148-0003
(623) 533-9733
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
08/22/2023
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